Individual provider Active NPI

Kelly M Eifling, AG-ACNP

  • Gerontology Nurse Practitioner
  • North Richland Hills, TX
National Provider Identifier
1083371728
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
849895 Issued in TX
Practice address
4375 Booth Calloway Rd Ste 400
North Richland Hills, TX 76180-8365
Phone
(817) 284-3915
Fax
(844) 289-7694
NPI assigned
Nov 17, 2021
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1571190 ID
Acute Care Nurse Practitioner 363LA2100X 849895 TX
Gerontology Nurse Practitioner 363LG0600X 849895 TX Primary

Addresses

Primary practice location

4375 Booth Calloway Rd Ste 400
North Richland Hills, TX 76180-8365

Mailing address

4375 Booth Calloway Rd Ste 400
North Richland Hills, TX 76180-8365
Phone (817) 284-3915

Other practice location 1

700 W Ironwood Dr Ste 320
Coeur D Alene, ID 83814-4485
Phone (208) 625-5250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keifling949509@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211204000078 TX Practitioner - Nurse Practitioner 9830589951
I20260401001477 ID Practitioner - Nurse Practitioner 9830589951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

700 W Ironwood Dr
Suite 320
Coeur D Alene, ID 83814-4485
Phone (208) 625-5250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
75.09
Promoting interoperability
100
Improvement activities
40
Cost
79.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1571190IDMDNurse Practitioner
849895TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Heartplace, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Heartplace, PLLC Current Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

1305 Airport Fwy
Ste 301
Bedford, TX 76021
Phone (682) 223-9120

1924 Forest Ridge Dr
Ste 400
Bedford, TX 76021
Phone (817) 551-7707

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

1008 NE Big Bend Trl
#400
Glen Rose, TX 76043
Phone (254) 897-1415

4375 Booth Calloway Rd
Ste 400
North Richlnd Hls, TX 76180
Phone (817) 284-3915

4708 Alliance Blvd
Ste 50
Plano, TX 75093
Phone (972) 941-3100

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: keifling949509@direct.multicare.org
  • Direct secure messaging: kelly.eifling@ushv.eclinicaldirectplus.com
  • Direct secure messaging: kelly.glowicz.1@14273.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083371728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808365",
            "telephone_number": "817-284-3915",
            "fax_number": "844-289-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808365",
            "telephone_number": "817-284-3915",
            "fax_number": "844-289-7694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Ironwood Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144485",
            "country_code": "US",
            "telephone_number": "208-625-5250",
            "fax_number": "208-625-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIFLING",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "1571190",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "849895",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "849895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keifling949509@direct.multicare.org",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 320",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.